Ten pregnancies in eight women with kyphoscoliosis were managed in the Princess Margaret Hospital, Hong Kong, between 1976 and 1984. Five patients were delivered by caesarean section, including four classical sections for malpresentation. Pre-operative and postoperative chest physiotherapy was given to all patients. I here were no maternal deaths. Two patients had chest infections but none had cardiopulmonary failure. One baby died of respiratory distress syndrome. The role of active chest physiotherapy is emphasised.